Harriet Johnson

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

160572 Issued in MA

Practice address

1 Dogwood Rd
Bourne, MA 02532-2227

Phone

(508) 759-7279

Fax

(508) 888-7553

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prospect Hill Consultants Inc.Group PAC ID 9436215985, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prospect Hill Consultants Inc.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Bourne, MA
  • NPI 1447496237
  Medicare reassignment Care Compare group NPD
• Mashpee Mental Health Center, Inc.

  dba Orleans Mental Health Center

  • Community/Behavioral Health Agency
  • Mashpee, MA
  • NPI 1790844843
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962572792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOGWOOD RD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025322227",
            "telephone_number": "508-759-7279",
            "fax_number": "508-888-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOGWOOD RD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025322227",
            "telephone_number": "508-759-7279",
            "fax_number": "508-888-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HARRIET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "160572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341100",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inmed Diagnostic Services of Massachusetts LLC (Inmed Diagnostic Women's Center)
• Danielle Jacobson
• Jeffrey J Glavin DDS Inc (Bourne Dental Associates)
• Kirsten Diane Jerome
• Alison Jessup, FNP-C, PMHNP-BC
• Kelcie Johnson
• Alicia Kearney, COTA
• Shannon Danae Keith
• Michael John Kelley, PA-C
• Sylvia C Koo, D.M.D

• Psychiatric/Mental Health Registered Nurse in Bourne, MA
• Providers in Bourne, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.